Evidence map›Paper›PMID 39932629›Full record

ArticleJournal of assisted reproduction and genetics2025

Genetic insights into non-obstructive azoospermia: Implications for diagnosis and TESE outcomes.

Shahrashoub Sharifi, Murat Dursun, Ayla Şahin, Serdar Turan, Ayşe Altun, Özden Özcan, Arif Kalkanlı, Kıvanç Çefle, Şükrü Öztürk, Şükrü Palanduz and 1 more

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Article in Journal of assisted reproduction and genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Shahrashoub SharifiDepartment of Internal Medicine, Division of Medical Genetics, Istanbul Medical Faculty, Istanbul, Turkey. shahrashoub.sharifi@gmail.com.
Murat DursunSection of Andrology, Department of Urology, İstanbul Faculty of Medicine, İstanbul University, İstanbul, Turkey. itfabd@istanbul.edu.tr.ORCID http://orcid.org/0000-0001-9115-7203
Ayla ŞahinDepartment of Internal Medicine, Division of Medical Genetics, Istanbul Medical Faculty, Istanbul, Turkey.
Serdar TuranSection of Andrology, Department of Urology, İstanbul Faculty of Medicine, İstanbul University, İstanbul, Turkey.
Ayşe AltunDepartment of Obstetrics and Gynecology, İstanbul Faculty of Medicine, İstanbul University, Istanbul, Turkey.
Özden ÖzcanDepartment of Internal Medicine, Division of Medical Genetics, Istanbul Medical Faculty, Istanbul, Turkey.
Arif KalkanlıDepartment of Urology, Medical Park Gebze Hospital, Gebze, Kocaeli, Turkey.
Kıvanç ÇefleDepartment of Internal Medicine, Division of Medical Genetics, Istanbul Medical Faculty, Istanbul, Turkey.
Şükrü ÖztürkDepartment of Internal Medicine, Division of Medical Genetics, Istanbul Medical Faculty, Istanbul, Turkey.
Şükrü PalanduzDepartment of Internal Medicine, Division of Medical Genetics, Istanbul Medical Faculty, Istanbul, Turkey.
Ateş KadıoğluSection of Andrology, Department of Urology, İstanbul Faculty of Medicine, İstanbul University, İstanbul, Turkey.

Funding

Istanbul Üniversitesi TSA-2023-39512
6 · The paper itself

Abstract

backgroundNon-obstructive azoospermia (NOA) is considered one of the most severe forms of male infertility. Despite the limited range of testicular phenotypes, NOA exhibits considerable genetic heterogeneity. The aim of this study was to uncover the etiopathogenesis of NOA and provide insights into the outcomes of testicular sperm extraction (TESE). MATERIAL

methodTo elucidate the potential causes of testicular pathogenesis, a cohort of 61 patients was analyzed. The genetic etiology was assessed using our developed gene panel, based on genes with prior functional studies conducted specifically in the context of testicular characterization.

resultsOur analytical approach, built upon these findings, enabled us to explore the potential genetic causes of NOA and assess their relevance to TESE outcomes. A potential causal defect was identified in 14 genes across a total of 26 individuals (42%). Of these, three genes-MEIOB, TERB1, and USP26-had been previously described in men, while eight genes-SPO11, RBBP7, STS, RBMXL3, ZCCHC13, HUWE1, ESR1, and ABCD1-had been reported in prior studies. Additionally, three genes-CEP85, NAP1L3, and CENPI-had been previously described only in knockout (KO) phenotype studies, and this study represents the first identification of these genes in men.

conclusionInterestingly, the histological findings of meiotic arrest were strongly linked to genes involved in meiosis, reinforcing the clinical diagnosis of patients in this cohort. Additionally, our study underscores the importance of refining diagnostic strategies that focus on genes associated with testicular phenotypes, which could enhance the accuracy of TESE success predictions.

Indexed as

AzoospermiaInfertility, MaleSperm RetrievalAdultHumansMaleSpermatozoaTestisGenetic heterogeneityMeiotic arrestMonogenic disordersNon-obstructive azoospermiaTESE outcomes

Identifiers

PMID39932629
PMCPMC12055743

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